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Infertility

Our Infertility Support forum is a space to connect with others in the same position, discuss causes, treatment and IVF, and share infertility stories of hope and success.

Original poster

2.2pmol amh

28 replies

KoraPersefone · 20/03/2023 00:02

Hi. Just had my amh results this week and totally devastated. Ttc a little over a year and nothing. 35yo here. Referred to the clinic, still waiting for first appointment. 2.2pmol amh. Any chance that ivf will work with this low amh? Any experience? Thanks

OP posts:
MrsD7 · 21/03/2023 14:52

@KoraPersefone No experience of IVF but looking to start in the next few months with AMH 3.9pmol in October 2022 at 34 yo. We were told to keep trying for another 6 months and then start IVF.

Would be interested to hear some success stories too!

Rosiestraws · 23/03/2023 16:56

The AMH is only an indication of your number of eggs left/egg reserve so it might be indicative of how you will respond to IVF but nothing to do with how likely you are to get pregnant. The biggest factor on how good your eggs are is your age so you should both have decent chances at 34/35.

I had AMH of 0.8pmol at age 34 and I'm age 36 now and have been doing numerous cycles of egg freezing to bank some eggs for future use. I have not had my AMH tested again but since changing to a clinic that used mild/natural modified IVF I have at least always collected one egg per cycle. Of course I have no idea how good those eggs are until I come to use them.

I think your best bet is to ensure you are at a clinic where they will go ahead with egg collection even if you only have 1 follicle growing - I have heard a lot of clinics would not do this, but if you're only going to get 1 or 2 eggs every cycle then that's better than none.

As an indication, however, I have had between 1-6 follicles most cycles - usually now on the lower end but usually at least 2 or 3.

I'm with Create and I've heard Lister are also good. But that's private so I appreciate if you're with NHS then it might be trickier.. Good luck.. remember it only takes one egg!

Original poster
KoraPersefone · 24/03/2023 11:59

Rosiestraws · 23/03/2023 16:56

The AMH is only an indication of your number of eggs left/egg reserve so it might be indicative of how you will respond to IVF but nothing to do with how likely you are to get pregnant. The biggest factor on how good your eggs are is your age so you should both have decent chances at 34/35.

I had AMH of 0.8pmol at age 34 and I'm age 36 now and have been doing numerous cycles of egg freezing to bank some eggs for future use. I have not had my AMH tested again but since changing to a clinic that used mild/natural modified IVF I have at least always collected one egg per cycle. Of course I have no idea how good those eggs are until I come to use them.

I think your best bet is to ensure you are at a clinic where they will go ahead with egg collection even if you only have 1 follicle growing - I have heard a lot of clinics would not do this, but if you're only going to get 1 or 2 eggs every cycle then that's better than none.

As an indication, however, I have had between 1-6 follicles most cycles - usually now on the lower end but usually at least 2 or 3.

I'm with Create and I've heard Lister are also good. But that's private so I appreciate if you're with NHS then it might be trickier.. Good luck.. remember it only takes one egg!

Thank you. We are with nhs scotland, don't know how my clinic works, we are just at the early stage, my husband just did his semen analysis and we are waiting now to be called for first appointment, it will take a while before knowing if I'll be eligible for ivf or not. Unfortunately I can't go private so if nhs is not an option, I have to renounce to be a mother it seems. 😔 we will try and ask if it will be possible to go with ovodonation through nhs but if I'm not eligible, I'll just give up. Thank you again

OP posts:
Ilikeviognier · 25/03/2023 19:39

My amh was 2.8 age 34. Ivf worked first time anyway although they only collected 2 eggs.

when the ivf baby was 8 months old and my period came back we started trying naturally. My expectations were zero. Two weeks later I was starting at a positivetest.

ive now got 2 with 16 months between them.

low amh has no impact on natural conception - studies have shown this. And ivf can also work.

CR7 · 25/03/2023 22:34

My amh was 2.2 at age 41 and I went through duo stim for this reason entirely. I managed to have 13 eggs retrieved and three were chromosomally perfect so try not to worry x

Original poster
KoraPersefone · 26/03/2023 21:08

CR7 · 25/03/2023 22:34

My amh was 2.2 at age 41 and I went through duo stim for this reason entirely. I managed to have 13 eggs retrieved and three were chromosomally perfect so try not to worry x

Thank you both. I'll try to wait patently my turn and see what happens. May I ask you @CR7 how many follicles you had with that amh?

OP posts:
CR7 · 26/03/2023 22:55

@KoraPersefone

I would say, having done three egg collections, not to get too fixated on follicle numbers. I know how hard it is not to worry, because I was always worried about follicle numbers.

My history -

My first cycle had 13 follicles and only one egg which didn't get to boast.

Second round I had five follicles and I got five eggs and three got to day five and two came back from genetic testing as perfect.

Round three - 8 follicles. 8 eggs. Four got to blast and one came back genetically perfect.

I had a friend who had 27 eggs retrieved over two cycles and none made it to blast.

I know it's hard. I get it. I've been doing this sadly for too long. But the worrying didn't help me at all. It really didn't.

Large follicle numbers aren't always a good thing I promise xx

Original poster
KoraPersefone · 27/03/2023 08:13

Thank you. I'll try and no not easy at all lol but thanks again appreciated

OP posts:
Marilala · 15/04/2023 15:28

How did you get on OP? My AMH is the same level even though I’m only 32.

Original poster
KoraPersefone · 15/04/2023 19:02

Marilala · 15/04/2023 15:28

How did you get on OP? My AMH is the same level even though I’m only 32.

What's OP?

OP posts:
Marilala · 15/04/2023 19:43

Original poster 🙂

Original poster
KoraPersefone · 16/04/2023 17:34

Marilala · 15/04/2023 19:43

Original poster 🙂

Haha make sense lol. We are stilo waiting for first visit yet :( on the 27th. Amh alone doesn't mean anything though. Have you checked your fsh? Afc?

OP posts:
Marilala · 16/04/2023 19:13

Sure have! Everything else seems within normal range so it’s hard to comprehend. I started taking DHEA in March and my AMH has gone up to 3.2 which is interesting. Could be a coincidence but it’s enough for me to keep taking it!

Original poster
KoraPersefone · 16/04/2023 20:45

Marilala · 16/04/2023 19:13

Sure have! Everything else seems within normal range so it’s hard to comprehend. I started taking DHEA in March and my AMH has gone up to 3.2 which is interesting. Could be a coincidence but it’s enough for me to keep taking it!

I bought them as well but I'm scared on taking them lol it's an hormone and I don't know if I need that. How much are you taking?

OP posts:
Marilala · 16/04/2023 20:55

I did one week of 25mg daily, then built it up to 50mg daily for two weeks. I did a week of 75mg without any side effects but decided to drop back down to 50mg to be on the safe side as I was also a touch nervous

Original poster
KoraPersefone · 17/04/2023 11:50

Marilala · 16/04/2023 20:55

I did one week of 25mg daily, then built it up to 50mg daily for two weeks. I did a week of 75mg without any side effects but decided to drop back down to 50mg to be on the safe side as I was also a touch nervous

I see. I'll maybe try that. Are you following any protocol? I mean, what's your fertility problem? Have you been to the clinic? What are you doing about getting pregnant? If I may ask fo course

OP posts:
AlisonDanuta · 17/04/2023 12:49

I am 37 and has my amh at 1.8 and couple of weeks ago tested positive after 3 cycles. Do not give up as there's always a chance!

Marilala · 17/04/2023 14:08

@KoraPersefone TBH they haven't given me a cause for being unable to conceive, so probably unexplained infertility. I do have short luteal phases so I wonder whether that's a reason. I took clomid which did lengthen my LP but didn't help in getting me pregnant. And yes I've been to the clinic and am getting my ducks in a row to start treatment next month.

@AlisonDanuta That's great that it worked with your low AMH! There's hope for us yet 😊

Original poster
KoraPersefone · 17/04/2023 14:47

Marilala · 17/04/2023 14:08

@KoraPersefone TBH they haven't given me a cause for being unable to conceive, so probably unexplained infertility. I do have short luteal phases so I wonder whether that's a reason. I took clomid which did lengthen my LP but didn't help in getting me pregnant. And yes I've been to the clinic and am getting my ducks in a row to start treatment next month.

@AlisonDanuta That's great that it worked with your low AMH! There's hope for us yet 😊

@AlisonDanuta Oh that's amazing :) congratulations. May I ask you how many eggs have you been able to get per cycle? And how many follicles? I'm really happy for you :)

@Marilala oh I see yeah probably that's the reason. Really sorry and happy you'll be able to get treatment. I'm still really far for that :( hope it will work for you. Keep me posted will you?

OP posts:
Marilala · 17/04/2023 14:52

I will do! Won’t be for another two months by the time I have an update but I definitely will.
You should read it starts with the egg and look into the supplements the author recommends - they’re all aimed at egg quality. Worth getting all that goodness into you now while you wait to start treatment!

AlisonDanuta · 17/04/2023 21:15

@KoraPersefone thank you, it's been a journey..now just hoping it will keep growing but very stressed during this first few weeks!

1 cycle 3 eggs none blastocyst
2nd cycle 7 eggs but 6 mature and 3 fertilised and transfer on day 3 with BFN, 1 blastocyst but not good enough to freeze

3rd cycle taking DHEA, testosteron gel, q10 etc
7 eggs 7 fertilised, 1 good quality blastocyst transfered on day 5 (BFP) and surprised 1 more to freeze

Where are you in your stage?

Marilala · 17/04/2023 21:18

@AlisonDanuta oh wow cycle 3 delivered some excellent results! This fills me with hope ❤

Original poster
KoraPersefone · 18/04/2023 19:14

Marilala · 17/04/2023 14:52

I will do! Won’t be for another two months by the time I have an update but I definitely will.
You should read it starts with the egg and look into the supplements the author recommends - they’re all aimed at egg quality. Worth getting all that goodness into you now while you wait to start treatment!

Yeah quite a long journey but, whenever you'll have an update, feel free to share :D and I hope everything will be ok for you.

@AlisonDanuta oh that's an amazing result, really really amazing. Unfortunately I'm still at the beginning :( we have first appointment with the clinic on the 27th, I had all blood work done, all ok it seems, smear and other swabs done, all good as well, semen analysis came back more than ok yesterday, I did my amh privately so I'll bring this to the clinic next week to see what they say and that's it, but I'm very discouraged and depressed I have to admit... I don't know where I'm finding the strength to go on. My partner is very supportive, he keeps saying that he doesn't care if we will end up failing, the only thing he wants is me, but in the last 2 days the only thing I can think about is to cancel the wedding, do you believe it? Just because I feel guilty to not be able to give him a child, since his semen analysis came back ok, clearly the fault is mine here. I know there is no fault in something like this, but still... I feel like a failure, I have no one to talk to about this (beside him), the people that know what I'm going through do not understand, just wait they said, give it time, you are too stress about it and so on. I'm all alone, I went deep into depression many years ago about having children (we wanted to but we couldn't even try) but I managed to get out of depression somehow, all alone, I don't even know how but still... this time I don't know if I'll be able to.
Anyway, sorry for venting... don't mind me and enjoy your miracle, you deserve it :D

OP posts:
AlisonDanuta · 19/04/2023 21:37

@Marilala we nearly lost hope as they were strongly advising egg donor! But we knew we had something left in the tank! Trust yourself as you know your body the most!

@KoraPersefone the fault could be just unexplained.. in this process there's no room for blame - you just get through it together! You need to stop thinking it's you as it is combination so focus on positives. Ivf can bring you what you want so you need to stay positive. It's hard as we've had many downs.. we did not believe after 2 full cycles that we can create viable embryo! So we thought 3rd cycle will be just confirming... and see what's happened! We realised we stop putting pressure on ourselves as we kind of didn't have too much expectation!
It's a long and stressful and expensive process... but if there is a hope?? Just keep going.
It will feel overwhelming but focus on what you're fighting for :)
I was the same as no one understood what we're going through. So you needto focus on what works for you and your mind. Good luck!

TTC1209 · 18/12/2023 11:47

Hi - just wondering if you have any updates OP? I've just received results today that my AMH is 2.2nmol. I'm devastated. My FSh was 2.9 last time I had it done I think but I'm still unsure what any of this indicates. I went private for the AMH as I've been on a waitng list for NHS since August 2023 - now I'm reading that the NHS won't accept us for IVF with an AMH this low. Not sure what to do or where to go from here...